Coach'S Code Of Ethics And Agreement Form

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AGREEMENT FORM
Coach’s Code of Ethics
PLEASE COMPLETE ALL FIELDS - PRINT CLEARLY
Title:
_________
First
Name:________________________
Surname:
_______________________________
FFA Accreditation Level:
_______________________________ ID:____________________________________
( IF DOING A COURSE FOR THE FIRST TIME PLACE N / A ABOVE)
Club:
________________________________
Association: ________________________________________
Mailing Address:
____________________________________________________________________________
__________________________________________
State:________________
P/C:__________________
Phone Number:
H:
____________________
W:___________________
M:___________________
Email:
____________________________________
Fax:__________________________________________
Country of Birth:
___________________________
Date of
Birth:__________________________________
I agree to the following terms:
1. I agree to abide by Football Federation Australia’s Code of Ethics overleaf
2. I acknowledge that Football Federation Australia may take disciplinary action against me, if I breach the code
of ethics.
3. I understand that Football Federation Australia is required to implement a complaint handling procedure in
accordance with the principles of natural justice, in the event of an allegation against me.
4. I acknowledge that disciplinary action against me may include de-registration from Football Federation
Australia ‘s Coach Licence Registration and the National Coaching Accreditation Scheme.
Please refer to the Harassment free Sport Guidelines available from the Australian Sports Commission Website
( ).
I have read the Football Federation Australia Coaches Code of Ethic’s and agree to comply with its directives.
Signature:_______________________________________
Date:___________________________________
Signature of Parent/Guardian (if under 18):
_________________________________________________________

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